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Is Surgery Still the Best Option for Kids with Mild Appendicitis? New Research Gives Answers

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Reevaluating Nonoperative Management for Pediatric Uncomplicated Acute Appendicitis A Systematic Review and Meta-AnalysisDOI 10.1001jamapediatrics.2025.4091

Doctors are always looking for ways to help children recover faster and feel better with less stress. In recent years, some children with mild appendicitis have been treated without surgery. This is called nonoperative management (NOM), and it uses antibiotics instead of removing the appendix.

A new study looked at whether this non-surgery approach really works long term. Researchers reviewed the best available data from seven high-quality trials involving nearly 1,500 children.

They found that children who did not have surgery were more likely to need further treatment later. About 1 in 5 had their appendicitis come back. The chance of failure in the first year was also higher in the group that didn’t have surgery. Serious problems were more common in this group too.

The good news? Children who got antibiotics returned to school and normal life a few days faster than those who had surgery. But this small benefit could be lost if the appendicitis comes back or more treatment is needed later.

This study helps families and doctors make better choices. While skipping surgery may seem easier at first, it may lead to more problems down the road. It’s important to talk with your doctor about what’s best for your child’s health.

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Dr Harsh Shah - GI & HPB Oncosurgeon in Ahmeadbad
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